Please DO NOT give Sodium Bicarbonate – IT’S HARMFUL TO YOUR ACIDOTIC PATIENT – TREAT THE CAUSE

Sodium bicarbonate may increase serum pH, but may worsen rather than improve prognosis.  Other than indications where sodium bicarbonate is the treatment for the acidosis (such as TCA overdose), the treatment for metabolic acidosis is to correct the underlying cause, whatever it may be.

Emergency Medicine Kenya Foundation

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